Managed Care Specialist (Finance)

Devereux • Orlando, FL

3d • $20 - $23 • Onsite

About The Position

Are you a Contracts and Managed Care Professional looking for a great company with a great mission and culture? Then consider joining Devereux Florida as a Managed Care Specialist!
Devereux provides mental and behavioral health services as well as child welfare case management services for children, adolescents and adults whose needs are extra ordinary. As a Managed Care Specialist, you will:
Submit monthly rosters to all Managed Medicaid agencies (new hires, changes, terminations)
Complete re-credentialing applications for: Florida Medicaid programs, Medical Doctors (MDs) and ARNPs, Renew Florida Medicaid provider numbers
Credential all new MD and ARNP hires with Managed Medicaid agencies
Complete system configuration requests in myAvatar (guarantor rates)
Manage contract tracking and related Excel spreadsheets
Maintain spreadsheets for Managed Care, commercial insurance, and Medicaid
Coordinate and manage Managed Care audits (including medical record submissions)
Process contracts, amendments, funding letters, and single case agreements
Organize and lead meetings with Managed Care agencies (contracting, credentialing, claims)
Position Details:
Salary: Ranges from $20.25- $23.09 / hr (rate is based on education and relevant experience)
Schedule: Full time position; Monday-Friday
Location: in-person on-site

Requirements

• Bachelor's degree in Finance, Business or related required OR In lieu of bachelor's degree: 5+ years experience in Contracts or Managed Care can substitute for education required
• Valid driver's license required
• Successfully pass pre-employment medical screenings which include: Drug Screen.
• Successfully pass a Level 2 background screening with the State of Florida. To learn more visit: https://info.flclearinghouse.com.

Nice To Haves

• Experience in managed care, credentialing, or healthcare administration preferred.
• Strong communication and organizational skills.
• Ability to work independently and manage multiple tasks.
• Familiarity with CAQH, Medicaid processes, and insurance credentialing preferred.

Responsibilities

• Submit monthly rosters to all Managed Medicaid agencies (new hires, changes, terminations)
• Complete re-credentialing applications for: Florida Medicaid programs, Medical Doctors (MDs) and ARNPs, Renew Florida Medicaid provider numbers
• Credential all new MD and ARNP hires with Managed Medicaid agencies
• Complete system configuration requests in myAvatar (guarantor rates)
• Manage contract tracking and related Excel spreadsheets
• Maintain spreadsheets for Managed Care, commercial insurance, and Medicaid
• Coordinate and manage Managed Care audits (including medical record submissions)
• Process contracts, amendments, funding letters, and single case agreements
• Organize and lead meetings with Managed Care agencies (contracting, credentialing, claims)

Benefits

• Paid time off (24 days per year, increase with years of service); Sick time (64 hours per year)
• Retirement – 403(b) through TIAA
• Quality Low-Cost Benefits (medical, dental, vision), pet insurance, plus student loan debt assistance and 30-day benefit eligibility waiting period for new hires! http://mydevereuxbenefits.org
• ASCEND - Tuition Program You deserve to work somewhere that gives back to you! Devereux is proud to offer ASCEND – the first career accelerator program exclusively designed to give behavioral healthcare workers – the career guidance, one-on-one coaching, skills and financial assistance you need to reach your full potential. This program includes 100% of tuition covered (up to $15k reimbursed annually for undergraduate and $25k reimbursed annually for graduate)! Learn more here.
• ASCEND - Student Loan Repayment - Let Devereux help pay back your student loans with student loan repayment! Learn more here.
• Free access to Payactiv, a platform to get a portion of your earned wages between pay periods
• Employee Assistance Program and Employee Discounts – Available the first day of employment through Carebridge
• Service Awards – All employees celebrating a five-year increment (5, 10, 15, etc.) anniversary receive taxable compensation in recognition of their long-term commitment to Devereux.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees